NPI | 1891999157 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH MARGERUM Director 580-765-2501 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-06-12 |
Last Update Date | 2025-08-11 |